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Endometrial Ablation Procedure
Treatment of Treatment of Breast Cancer
Management of Abortion
Hormonal Replacement Therapy Treatment
Caesarean Section Procedure
Treatment of Gynae Problems
Gynecology Laparoscopy Procedures
Treatment Of Female Sexual Problems
Treatment Of Menopause Related Issues
Treatment Of Menstrual Problems
Treatment of Mirena (Hormonal Iud)
Pap Smear Procedure
Polycystic Ovary Syndrome Treatment
Treatment of Uterine Bleeding
Antenatal And Postnatal Exercise
My date was on 9 but till today I din get my period. Many days have been paas. I my consuming WARF 5 mg tablet.
I'm 4 weeks pregnant . I'm having pain in My right ovary to My right leg! An eco shoes that I have a folicul or cyst 3cm size. Could be this making me the pain? Could this be dangerous? Please help me.
Hi I am 26 years old married woman and trying to conceive from one year my hsg test is also normal and my husband semen report is also normal can I go for DNC?
Amenorrhea is the absence of menstruation that is one or more missed menstrual periods. Women who have missed at least three menstrual periods in a row have amenorrhea, as do girls who haven't begun menstruation by age 16. The most common cause of amenorrhea is pregnancy. Other causes of amenorrhea include problems with the reproductive organs or with the glands that help regulate hormone levels.
Treatment of the underlying condition often resolves amenorrhea.The main sign of amenorrhea is the absence of menstrual periods. Depending on the cause of amenorrhea, you might experience other signs or symptoms along with the absence of periods, such as:
- Milky nipple discharge (galactorrhoea)
- Hair loss
- Vision changes
- Excess facial hair (Hirsuitism)
- Pelvic pain
You should consult a doctor if you've missed at least three menstrual periods in a row, or if you've never had a menstrual period and you're age 16 or older.
Causes: Amenorrhea can occur for a variety of reasons. Some are normal during the course of a woman's life, while others may be a side effect of medication or a sign of a medical problem.
During the normal course of your life, you may experience amenorrhea for natural reasons, such as:
Some women who take birth control pills may not have periods. Even after stopping oral contraceptives, it may take some time before regular ovulation and menstruation return. Contraceptives that are injected or implanted also may cause amenorrhea, as can some types of intrauterine devices.
Certain medications can cause menstrual periods to stop, including some types of:
- Psychiatric medications
- Cancer chemotherapy
- Blood pressure drugs
- Allergy medications
- Lifestyle factors
Sometimes lifestyle factors contribute to amenorrhea, for instance:
- Low body weight: Excessively low body weight, about 10 percent under normal weight interrupts many hormonal functions in your body, potentially halting ovulation. Women who have an eating disorder, such as anorexia or bulimia, often stop having periods because of these abnormal hormonal changes.
- Excessive exercise: Women who participate in activities that require rigorous training, such as gymnastics,athletics may find their menstrual cycles interrupted. Several factors combine to contribute to the loss of periods in athletes, including low body fat, stress and high energy expenditure.
- Stress: Mental stress can temporarily alter the functioning of your hypothalamus an area of your brain that controls the hormones that regulate your menstrual cycle. Ovulation and menstruation may stop as a result. Regular menstrual periods usually resume after your stress decreases.
Many types of medical problems can cause hormonal imbalance, including:
- Polycystic ovary syndrome (PCOS): PCOS causes relatively high and sustained levels of hormones, rather than the fluctuating levels seen in the normal menstrual cycle.
- Thyroid malfunction: An overactive thyroid gland (hyperthyroidism) or underactive thyroid gland (hypothyroidism) can cause menstrual irregularities, including amenorrhea.
- Pituitary tumor: A noncancerous (benign) tumor in your pituitary gland can interfere with the hormonal regulation of menstruation.
- Premature menopause: Menopause usually begins around age 50. But, for some women, the ovarian supply of eggs diminishes before age 40, and menstruation stops.
Problems with the sexual organs themselves also can cause amenorrhea. Examples include:
- Uterine scarring: Asherman's syndrome, a condition in which scar tissue builds up in the lining of the uterus, can sometimes occur after a dilation and curettage (D&C), cesarean section or treatment for uterine fibroids. Uterine scarring prevents the normal buildup and shedding of the uterine lining.
- Lack of reproductive organs: Sometimes problems arise during fetal development that lead to a girl being born without some major part of her reproductive system, such as her uterus, cervix or vagina. Because her reproductive system didn't develop normally, she can't have menstrual cycles.
- Structural abnormality of the vagina: An obstruction of the vagina may prevent visible menstrual bleeding. A membrane or wall may be present in the vagina that blocks the outflow of blood from the uterus and cervix.
Clinical examination by the doctor includes a pelvic exam to check for any problems with your reproductive organs. If you've never had a period, the doctor may examine your breasts and genitals to see if you're experiencing the normal changes of puberty.
Amenorrhea can be a sign of a complex set of hormonal problems. Finding the underlying cause can take time and may require more than one kind of test/investigation.
A variety of blood tests may be necessary, including:
- Pregnancy test: This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
- Thyroid function test: Measuring the amount of thyroid-stimulating hormone (TSH) in your blood can determine if your thyroid is working properly.
- Ovary function test: Measuring the amount of follicle-stimulating hormone (FSH) or AMH (anti-mullerian hormone) in your blood can determine if your ovaries are working properly.
- Prolactin test: Low levels of the hormone prolactin may be a sign of a pituitary gland tumor.
- Male hormone test: If you're experiencing increased facial hair and a lowered voice, the doctor may want to check the level of male hormones in your blood.
Hormone challenge test
For this test, you take a hormonal medication for seven to 10 days to trigger menstrual bleeding. Results from this test can tell the doctor whether your periods have stopped due to a lack of estrogen.
Depending on your signs and symptoms — and the result of any blood tests you've had, the doctor might recommend one or more imaging tests, including:
- Ultrasound: This test uses sound waves to produce images of internal organs. If you have never had a period, your doctor may suggest an ultrasound test to check for any abnormalities in your reproductive organs.
- Computerized tomography (CT): CT scans combine many X-ray images taken from different directions to create cross-sectional views of internal structures. A CT scan can indicate whether your uterus, ovaries and kidneys look normal.
- Magnetic resonance imaging (MRI): MRI uses radio waves with a strong magnetic field to produce exceptionally detailed images of soft tissues within the body. Your doctor may order an MRI to check for a pituitary tumor.
If other testing reveals no specific cause, the doctor may recommend a hysteroscopy — a test in which a thin, lighted telescope is passed through your vagina and cervix to look at the inside of your uterus.
Treatment depends on the underlying cause of your amenorrhea. In some cases, contraceptive pills or other hormone therapies can restart your menstrual cycles. Amenorrhea caused by thyroid or pituitary disorders may be treated with medications. If a tumor or structural blockage is causing the problem, surgery may be necessary. Some lifestyle factors — such as too much exercise or too little food — can cause amenorrhea, so strive for balance in work, recreation and rest. Assess areas of stress and conflict in your life. If you can't decrease stress on your own, ask for help from family, friends or your doctor.
Be aware of changes in your menstrual cycle and check with the doctor if you have concerns. Keep a record of when your periods occur. Note the date your period starts, how long it lasts and any troublesome symptoms you experience.
Hi my name is shweta I am 24 years old, from past 3 days I am experiencing pain in my vagina , please help me with this problem.
My last menstruation cycle was from 1-3 Sep and next from 24-26 Sep. Why it is too early this time? What may be the reasons behind this?
I am 25 years old I need your help . My wife not getting pregnant . We had sex around 15 - 16 times in this month but my wife got her period today so please help me.
Hi! I am 45 years old and diagnosed with early menopause. I have a very healthy life style. I do cardio, toning for 5 days in a week. My day starts with jeera, aijwan water with lemon and honey. After one hour I hv a cup of tea. I eat a small portion of breakfast n go to gym. Mu lunch consists of brown rice, veggies and rasam n curd. Night I eat pulka with veg curry. I am an vegetarian n trying to get rid of abdominal fat and excess weight. Still not losing. Can any one tell me where I am going wrong. My weight is 63 and height is 5 1'(put on 2 kg in recent ankle fracture) back to normal from 2 months. But weight is not coming down. I stopped sweets too.
Breathe Well Sleep Well
Total wellness is not possible without good sleep. Sleep is a de-learning process. It relaxes and rejuvenates the body and makes our body ready for a
new day. We spend one third of our life in sleep and this one third decides the two third of our life. For every two hours of alertness we need one of sleep. Ever since society has become 24x7, our sleep quality has become poor. A healthy body needs a regular refreshing seven to eight hours of sleep.
Sleep debt creates a mortgaged mind. If we are sleeping one hour less per day then we have to pay back in the day. Sleeplessness is equivalent to drunken driving. Anger, agitation, personality disorders, road rage, substance abuse are indirectly related to poor sleep. Sleep disorders are rising in society and more over sedentary behaviour, obesity is responsible for the rising number of sleep apnoea and related sleep disorders.
There are two types of sleep disorders one primarily because of defects in sleep regulatory mechanisms and others are secondary due to lifestyle causing insomnia and sleep disordered breathing like sleep apnoea. A tired and spent person gets relief and is able to retrieve his liveliness and energy only after taking sound sleep. Sleep is a law of nature which is applicable not only to human beings but also to the botanical world.
A good night sleep is a good regular sleep practice. Always be happy while sleeping. Concentrate on your breathing and feel you are totally relaxed. Keep in mind that the pranayama practice is very important. Pranayama and yoga are the key to good activation of our biological clock.
Our hypothalamic area in the brain is our internal clock. If we do not nurture our biological clock we will face sleep delay and fragmented sleep.
A good sleep involves right pre-sleep practices. It’s like a right alap before a classical music performance. Yoga and Pranayama are an important measure to improve sleep and reduce work place negativity, tension, anxiety and so many other problems. Following yoga and pranayama – Bhastrika pranayam, Kapalbhati pranayam and Anulom Vilom pranayam – have been found to be beneficial.
Besides this, Shavasan and Yognidra are very much useful for sound sleep. Listening to light music like mantras before sleep is beneficial. Yoga increases blood circulation and stimulates the nervous system. Following few practices improves oxygenation to the brain and improves sleep quality and cures insomnia. Halasana and Sarvangasana are the asana to cure insomnia naturally by yoga.
Good pre-sleep habits are called sleep hygiene. A good sleep hygiene improves sleep quality by reducing the onset of sleep and maintenance of rhythm of sleep. We all enter sleep through NREM sleep it’s like slow uncoiling of a curtain wire. We enter sleep with high alfa waves and slowly go to delta or slow wave sleep.
Initial sleep is all NREM sleep and subsequently we enter REM sleep or rapid eye movement sleep. REM sleep constitutes one third of total sleep and in this time of sleep muscles reach to zero tone and it's a dream sleep.
This is about a 50-year-old man, a heavy smoker with sedentary corporate life with disturbed sleep, snoring, day time sluggishness, irritability and poor corporate performance.
He was subjected to a quit tobacco programme, weight loss and good nutrition and lifestyle modification programme with following sleep rules.
He improved on all fronts and started enjoying wellness in his life.
Stick to your sleep time and get up exactly 7 to 8 hours after sleep. You will feel oven fresh.
Follow this sleep rules one hour before going to your sleep clock.
1. A relaxing warm shower an hour before sleep.
2. Anulom vilom for five minutes
3. Kapalbhati for five minutes, avoid doing if you had dinner an hour before.
4. Bhastrika for five minutes.
5. Eye exercises for five minutes in all quadrants
6. Cervical flexion, extension and rotation exercises for two minutes.
7. Sharvanasana or corpse pose for 5 minutes and focus on your breath.
8. Now listen to some slow music. Music induces Alfa activity and helps in sleep initiation for 10 minutes.
9. Do visual imagery. Make memorable twenty images on your iPad or phone or album and slowly brush though.
This helps in release of endorphins and gives feel good feeling for 5 minutes.
10. Take a hot cup of milk. Milk has serotonin and serotonin induces sleep. These steps will de-stress you and help you to get a sound sleep.
Avoid thinking too much while sleeping. Just relax while sleeping.
Always be happy while sleeping. Concentrate on your breathing and feel totally relaxed.
Keep in mind pranayama practice is very important, as important as pre-sleep habit.
Keywords: sleeplessness, pranayama, sleep habits, wellness
Kindly tell me what necessary precautions are need to take in 9th month of pregnancy. what additional ayurveda medicine are beneficial. please revert this is my first delivery.
Hi, I am married female my periods were irregular after marriage, but my last periods were on September 25th till today I didn't get periods and doctor advised me to take pregnancy test but it showed negative. I don't why I am not getting periods. My rubella antibody was only 0.8. Is there any chance for not getting periods because of rubella antibody?
My age is 38. Wt is 73 kg. My amh level is. 578 ng/ml. If I reduce my weight then please tell me can my amh level increase as am taking ovigyn DSR tablet once a night. 3 miscarriage earlier.
Hello Doctor, I am 28 weeks pregnant now. Yesterday I had a scan and after which doctor told that baby's AC is little lower. It is around 236 mm. She told that it is because of baby not getting enough nutrition and she prescribed to drink HERMIN ORAL (1 sachet everyday in one glass of water) until I go for next check up (15 days). When I google about HERMIN ORAL I read that it is not safe to use during pregnancy and it has got side effects too. Please clarify me if I shall drink HERMIN ORAL at this time.
Castor oil is one of the best natural home remedy that is available at many medicine shop or grocery shops. Castor oil has anti inflammatory and antibacterial properties and can be used in various other problems too. For using castor oil in fracture, dip a clean cotton cloth in castor oil and wrap it around that particular bone, cover the cloth with duct tape and leave for one or two nights. It will strengthen your bones and help to remove fracture.
Kalonji Or Black Caraway Seed
Kalonji can do wonders in fractures. Its high medicinal properties and contents make it very useful in almost all of minor health problems including fracture of bones. Kalonji contains zinc, iron, phosphorus and many compounds along with antibiotic qualities. For using kalonji for fracture, take kalonji or black caraway seeds oil and massage that particular area of bones two times a day for 10-12 days. You will feel better after using it.
Turmeric is another wonderful gift of nature to the mankind that can be extensively useful in various problems like skin infections, in injuries, various mouth related problem and in fracture too. It has various wonderful medicinal qualities like anti oxidant, antiseptic and anti inflammatory. For using turmeric in fractures, drink turmeric with milk at least twice a day to recover quickly. Another old method is make paste of turmeric and onion, make a poultice of this paste and put it on the affected part. You can also tie it with some plastic wraps for 1-2 days.
Tying With Wooden Piece
This is one of the methods that I myself have experienced. This looks simple but it is very effective, the only limitation is you can’t use it on every bones, it can only be applied on leg or hand. For using take a small wooden piece and tie it with cotton cloth or plastic on the affected bone area for 10- 12 hours.
This method is also worth a try for bone fractures. It is very simple to use and can be very effective. For using put some eyes on a cotton cloth and apply slowly around the affected part for 5-10 mints, repeat this 4-5 times a day to see its effect